Doctor profile · Federal record
Dr. Michelle Im, DO
Family Medicine Physician (CMS: Family Practice) · Shavertown, PA
- NPI 1134640717
- Accepts Medicare
- MIPS 90.3 / 100 · 2023
- 9 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
176 N Main St
Shavertown, PA 187081121
(570) 675-0900 - Mailing address
-
610 Wyoming Ave
Kingston, PA 187043702
Credentials & registration
- NPI registered
- July 2017 — 9 yrs on file
- Profile last updated
- November 15, 2021
- Year of graduation
- 2017 — 9 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Pennsylvania #OT018121
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1134640717. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,410
Distinct HCPCS
10
Medicare allowed
$107,778
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 434 | 186 | $114 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 173 | 120 | $80 | |
J1100 |
Injection, dexamethasone sodium phosphate, 1 mg | 161 | 21 | $0 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 133 | 133 | $111 | |
99454 |
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 100 | 15 | $43 | |
99457 |
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 55 | 15 | $43 | |
96372 |
Injection of drug or substance under skin or into muscle | 43 | 17 | $13 | |
99306 |
Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 43 | 41 | $159 | |
J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 35 | 12 | $2 | |
G0008 |
Administration of influenza virus vaccine | 32 | 32 | $29 |
In context: peer comparison
Among 5 peers in Shavertown Family Medicine Physician, average services per provider: 105. This provider delivers 13× the peer median.Open Payments
Industry payments received
All-time total
$3,025
Transactions
146
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 22 | $550.73 | |
| Novo Nordisk INC | 22 | $505.32 | |
| Lilly USA, LLC | 17 | $353.78 | |
| Amgen INC. | 20 | $309.06 | |
| GlaxoSmithKline, LLC. | 10 | $278.05 | |
| AstraZeneca Pharmaceuticals Lp | 10 | $243.02 | |
| Pfizer INC. | 17 | $187.14 | |
| Phathom Pharmaceuticals, INC. | 5 | $110.37 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | 5 | $105.14 | |
| Exact Sciences Corporation | 4 | $91.56 | |
| Shield Therapeutics INC | 4 | $73.90 | |
| Bayer Healthcare Pharmaceuticals INC. | 4 | $68.78 | |
| Novartis Pharmaceuticals Corporation | 2 | $35.91 | |
| Sumitomo Pharma America, INC. | 2 | $35.46 | |
| E.R. Squibb & Sons, L.L.C. | 2 | $28.98 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
3,912
Patients
832
Total drug cost
$124,698
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 493 | 118 | $5,026 |
| Levothyroxine Sodium | Generic | 450 | 74 | $4,871 |
| Pantoprazole Sodium | Generic | 422 | 86 | $5,234 |
| Famotidine | Generic | 330 | 71 | $4,542 |
| Alprazolam | Generic | 314 | 56 | $2,838 |
| Furosemide | Generic | 314 | 51 | $1,516 |
| Fluticasone Propionate | Generic | 231 | 92 | $3,289 |
| Potassium Chloride | Generic | 203 | 39 | $3,097 |
| Omeprazole | Generic | 192 | 48 | $3,249 |
| Metformin Hcl | Generic | 173 | 37 | $1,322 |
Hospital affiliations
Frequently asked questions
What is Dr. Michelle Im's medical specialty?
Dr. Michelle Im practices Family Medicine Physician in Shavertown, PA.
Where does Dr. Michelle Im practice?
Dr. Michelle Im practices at 176 N Main St, Shavertown, PA 187081121. Office phone: 5706750900.
What is Dr. Michelle Im's NPI?
Dr. Michelle Im's National Provider Identifier (NPI) is 1134640717, issued by NPPES.
Does Dr. Michelle Im accept Medicare assignment?
Yes. Dr. Michelle Im accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Michelle Im commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Injection, dexamethasone sodium phosphate, 1 mg (HCPCS J1100). Source: CMS Medicare Physician & Other Practitioners file.